Get Health & Vision Claim Form - Ihaveaplan.ca - Ihaveaplan

Filling out the Health & Vision Claim Form can seem daunting, but with clear instructions, it can be a straightforward process. This guide will provide you with detailed, step-by-step assistance to ensure your claim is processed efficiently and accurately.

Follow the steps to complete your claim form effectively.

1. Press the ‘Get Form’ button to obtain the Health & Vision Claim Form and open it in your preferred editor.
2. In the identification section (A), fill out your group number and student ID number, which can be found on your student ID card. Enter the member’s first and last name, date of birth, sex, address, and postal code.
3. Complete section B for coordination of benefits if you or your dependents have coverage from multiple insurers. Include details of the other insurance policy, coverage periods, and types of benefits covered.
4. In section C, provide information about dependents for whom the claim is being submitted. Use one line per dependent, specifying their relationship to you, date of birth, and any relevant educational institution if applicable.
5. Section D allows you to enroll in the Direct Deposit and Electronic Notice Service. Attach a voided cheque and provide your email address if you wish to receive notifications.
6. Complete section E by indicating if the claim arises from a work injury or motor vehicle accident and provide the relevant details.
7. Read and acknowledge the personal information management section in section F, confirming your understanding of how your information will be used.
8. Sign and date the declaration in section G, ensuring all provided information is accurate. Include your phone numbers for follow-up.
9. Once all sections are filled out, save your changes, and you have the option to download, print, or share the completed form.

Begin your claim process now and complete your Health & Vision Claim Form online.